Impact of an Electronic Health Record Maintenance Alert on PSA Screening Rates in a 10-Hospital Integrated Health System
\- The investigators propose a clinical trial to evaluate the impact of annual shared decision making for PSA screening, supported by system-level enhancements to promote evidence-based care: * Defined referral thresholds within the health maintenance reminder, aligned with clinical risk stratification per NCCN guidelines. * Enhanced clinical decision support (CDS) tools to reduce provider variation and ensure guideline-concordant screening and referral practices. * The goal is to reduce late-stage presentation without increasing overdiagnosis-ensuring that prostate cancer screening is both accessible and clinically effective.
⁃ Eligibility Criteria:
• Receive care within the BJC Health System
• Have had at least one primary care physician appointment in the calendar year of PSA screening (primary care)
• Be male
• Not have a history of prostate cancer
• Meet one of the following risk criteria:
‣ High Risk for Prostate Cancer
• African American, between the ages of 40 and 75 (inclusive), or
∙ Family history of prostate, breast, ovarian, and/or pancreatic cancer, or
∙ Known familial germline mutation OR
⁃ Average Risk for Prostate Cancer
• Between the ages of 50 and 75 (inclusive)